#2015 of 11K

D2931

HCPCS Procedure Code

HCPCS code D2931 is the #2,015 most-billed Medicaid procedure code, with $10.1M in payments across 81K claims from 2018–2024. The national median cost per claim is $125.71.

Total Paid

$10.1M

0.00% of all spending

Total Claims

81K

Providers

285

Avg Cost/Claim

$125

National Cost Distribution

How much do providers bill per claim for D2931? Based on 279 providers billing this code nationally.

Median

$125.71

Average

$135.96

Std Dev

$56.10

Max

$706.10

Percentile Distribution (Cost per Claim)

p10

$97.71

p25

$116.29

Median

$125.71

p75

$142.00

p90

$196.61

p95

$222.42

p99

$294.22

50% of providers bill between $116.29 and $142.00 per claim for this code.

90% bill between $97.71 and $196.61.

Top 1% bill above $294.22.

About This Procedure

HCPCS code D2931 was billed by 285 providers across 81K claims, totaling $10.1M in Medicaid payments from 2018–2024. This code was used for 52K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$125.71

Providers Billing

279

National Spending

$10.1M

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D2931

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1740584226	$1.4M	$117.64	0.9× median	Below Median
2	1982707337	$840K	$131.61	1.0× median	Above Median
3	1912430778	$774K	$124.70	1.0× median	Below Median
4	1235422106	$755K	$100.94	0.8× median	Below Median
5	1144569252	$324K	$174.36	1.4× median	Above 75th
6	1215250154	$191K	$125.71	1.0× median	Above Median
7	1649470519	$177K	$125.04	1.0× median	Below Median
8	D4c Of Texas Pllc Austin, TX · Clinic/Center, Dental	$162K	$146.44	1.2× median	Above 75th
9	1508495466	$159K	$257.96	2.1× median	Top 10%
10	1295360790	$149K	$123.72	1.0× median	Below Median
11	1184058984	$140K	$123.45	1.0× median	Below Median
12	1376039909	$130K	$199.23	1.6× median	Top 10%
13	1093001356	$128K	$278.51	2.2× median	Top 10%
14	1881839231	$124K	$132.75	1.1× median	Above Median
15	1821486754	$119K	$303.87	2.4× median	Top 1%
16	1730233768	$108K	$121.41	1.0× median	Below Median
17	1720013030	$101K	$166.62	1.3× median	Above 75th
18	1134541840	$100K	$105.66	0.8× median	Below Median
19	1154722163	$100K	$140.23	1.1× median	Above Median
20	1154729457	$100K	$196.43	1.6× median	Above 75th

Showing top 20 of 285 providers billing this code

Related Procedures

D2930Prefabricated stainless steel crown, primary tooth$2.17B D2934$53.8M D2929$21.1M D2940$14.2M D2933$9.7M

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